Superficial Spreading Type of Eso-phageal Carcinoma ; Retrospective Study, Report of a Case S. Inoue 1 1The First Department of Internal Medicine, Akita University School of Medicine pp.1255-1259
Published Date 1984/11/25
DOI https://doi.org/10.11477/mf.1403109564
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 A 52 year-old man was admitted to Akita University Hospital because of esophageal examination. He was pointed out to have an esophageal lesion by endoscopic and radiologic examination during the followup study of gastric ulcer. Endoscopic examination revealed a superficial spreading lesion with granular surface at 26 to 35 cm distal from the incisor. Biopsy specimens showed squamous cell carcinoma. Thoracic esophagectomy with esophagogastrostomy and pyloroplasty was performed. Histologically, moderately differentiated squamous cell carcinoma was seen, partly invading into the submucosa. A small lesion was later recognized at the same site 19 months before admission, but the biopsy specimens failed to show malignancy. But, it was assumed that the initial lesion of esophageal carcinoma was found only by retrospective investigation. Growth of this lesion was observed by the second examination 19 months later.

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